Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Port Huron Neurologic Associates PC

Organization Neurology Physician · NPI 1699946459

Port Huron Neurologic Associates PC is a Neurology Physician in Fort Gratiot, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3825 24th Ave
Fort Gratiot, MI 48059-4100
Phone: (810) 982-0100
Fax: (810) 982-0365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 5101011111 (MI)

Record details

NPI number1699946459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Kovar — President · (810) 982-0100
NPI enumeratedMarch 19, 2008
Last updated in NPPESOctober 29, 2019
Mailing address3825 24th Ave, Fort Gratiot, MI 48059-4100

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